OIL BURNER AND STORAGE TANK

Complete the form to apply for Permit and Certification of Completion for the Installation or Alteration of Fuel Oil Burning Equipment and the Storage of Fuel Oil (FP-056 Form 1).

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Address

A valid address must be entered to complete the application. Click the Check button to validate the address.

Street Address *

Applicant/Installer

Your E-Mail address will be used to recall your last contact record.

E-mail *

Certificate of Competency

First

Last *

Company Name *

Street Address

City - Town

State / Zip

Phone *

Burner Information

Electrical Permit

Burner
Heating Unit
Domestic Hot Water

Power Vent
Other

New
Existing

Location

Manufacturer

Type

Model # or Size

Nozzle Size

Fuel Oil
Kerosene

Waste Oil
Removal

Storage Tank Information

Tank
New
Existing

Location

Type

Capacity

Number of Tanks

Special Requirements (or additional safety devices)

OSV Valve
Oil Line Protected

Combustion Test

Completion Date

Gross Stack Temp

Net Stack Temp

CO2 Test

Breech Draft

Smoke

Overfire Draft

Efficiency Rating %

Fee$25.00

I certify that the installation of fuel burning equipment has been made in accordance with MGL Chapter 148 and 527 CMR 1.0; You must call the Fire Department (508-532-5930) to schedule an inspection when work is complete.